| NPI | 1568737583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANA MARIE TAYLOR Sole Proprietor 406-563-0675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 25506) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |